Individual
BRADLEY J COLLINS
Active
Individual
BRADLEY J COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12142
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31603-7
BCBS RI
RI
01
—
413540
BLUECHIP
RI
05
—
7058655
—
RI
01
—
AA68866
HPHC
RI
01
—
MD12142
MEDICAL LICENSE
RI
Enumeration date
07/12/2006
Last updated
04/10/2015
Update your record
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